<%--
    Document   : index
    Created on : 23 May, 2014, 12:42:26 PM
    Author     : Akash,Satyapal,Durwas,Yogesh,Rahul
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
   "http://www.w3.org/TR/html4/loose.dtd">

<html>
    <head>

<title>Vehicle Hai.com</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width; initial-scale=1.0">
<link rel="stylesheet" type="text/css" media="screen" href="commonfiles/css/style.css">
<link rel="stylesheet" type="text/css" media="screen" href="commonfiles/css/slider.css">
<link rel="stylesheet" type="text/css" media="screen" href="commonfiles/css/styles.css">
<link rel="stylesheet" type="text/css" media="screen" href="commonfiles/css/layout.css">

<link href="commonfiles/css/ui-lightness/jquery-ui-1.9.0.custom.css" rel="stylesheet"/>
    </head>
    <body>

        <!--Start of  Live Chat Script-->
<script type="text/javascript">
window.$zopim||(function(d,s){var z=$zopim=function(c){z._.push(c)},$=z.s=
d.createElement(s),e=d.getElementsByTagName(s)[0];z.set=function(o){z.set.
_.push(o)};z._=[];z.set._=[];$.async=!0;$.setAttribute('charset','utf-8');
$.src='//v2.zopim.com/?29cWb9BuQRBO7mGVhjEVsvvfPY1SMJmO';z.t=+new Date;$.
type='text/javascript';e.parentNode.insertBefore($,e)})(document,'script');
</script>
<!--End of Live Chat Script-->

  <div style="position:relative;width: auto;z-index: 10000; ">
        <div class="wrapper col1">
            <div id="logo">
        <h><a href="#"><img src="commonfiles/images/logo.png" style="float: left; height: 70px"></a></h>

    </div>
  <div id="header">

    <div id="info">
      <ul>
        <li>Tel: 0712-6606690</li>
        <li> | </li>
        <li>Mail: enquiry@jibjit.com</li>
      </ul>
    </div>
    <br class="clear">
  </div>
</div>
      <div id='cssmenu'>
          <ul>
    <li class='has-sub'><a href="home.jsp"><span>Home</span></a></li>
   <li class='active'><a href="services.jsp"><span>Services</span></a>
      <ul>
         <li ><a href="finance.jsp"><span>Finance</span></a>

         </li>
         <li><a href="insurance.jsp"><span>Insurance</span></a>

         </li>
         <li><a href="error.jsp"><span>Advertisement</span></a>

         </li>
         <li><a href="error.jsp"><span>E.M.I.</span></a>

         </li>
      </ul>
   </li>

   <li class='has-sub'><a href="error.jsp"><span>Tender</span></a>
       <ul>
         <li><a href="offlinetender"><span>Offline</span></a>

         </li>
         <li><a href="onlinetender.jsp"><span>Online</span></a>

         </li>

      </ul>

   </li>

   <li class='has-sub'><a href="error.jsp"><span>Post Add</span></a>
      <ul>
         <li><a href="error.jsp"><span>Post</span></a>

         </li>
         <li><a href="error.jsp"><span>Auto/Car</span></a>

         </li>
         <li><a href="error.jsp"><span>Rules</span></a>

         </li>
      </ul>
   </li>

<li class='has-sub'><a href="error.jsp"><span>Success Story</span></a>
      <ul>
         <li><a href="gallary.jsp"><span>Gallery</span></a>

         </li>
         <li><a href="error.jsp"><span>Success Story</span></a>
            </li>
      </ul>
   </li>

   <li><a href="about.jsp"><span>About</span></a></li>
   <li class='last'><a href="contact.jsp"><span>Contact</span></a></li>
</ul>          <section class="innerpages">
      <div class="grid_12">
        <ul class="breadcrumb clearfix">

        </ul>
        <h1>Apply For Insurance</h1>
      </div>
</section>

</div>
</div>



<div class="block2">
  <div class="container_12">
    <!--==============================content================================-->
    <section class="content">
      <div class="wrapper projects">
        <div class="row clearfix">
          <article class="grid_18">
            <div class="post">
                <br>
                <div class="clearfix">
              <ul id="commentform" class="hireform commentform">

        <html:form action="/Insurance">
            <table>
            <table id="Insurance">
                <tr><td><br>

                        Full Name<input type="text" name="name"/>  </td></tr>
             <tr><td>   City<input type="text" name="city"/></td> </tr>
              <tr><td>  Contact No<input type="text" name="contactno"/> </td> </tr>
             <tr><td>   Email_id<input type="text" name="email"/>  </td></tr>

            </table>
            <table>
                <th><h2>Insurance Detail</h2><th><br>
                <tr><td>Is Your Vehicle Registered(RTO)<input type="radio" name="vehiclereg" value="yes"/>Yes<input type="radio" name="vehiclereg" value="no"/>No</td></tr>
                <tr><td><br>Registration Date<input type="date" name="rdate"/><tr><td>
                 <tr><td><br>Insurance Expired<input type="radio" name="insexp" value="yes"/>Yes<input type="radio" name="insexp" value="no"/>No</td></tr>
                 <tr><td><br>Insurance Expired on <input type="date" name="edate"/></td></tr><br>
            </table>

         <table>
                <th><h2>Vehicle Details</h2><th><br>
    <tr><td>Vehicle Name<input type="text" name="uname"/></td><tr>
    <tr><td>Manufacturer Company Name<input type="text" name="mcname"/></td><tr>
    <tr><td>Model No<input type="text" name="mno"/><td><tr>
    <tr><td>Chasis No<input type="text" name="cno"/></td><tr>
    <tr><td>Cubic Capacity of Vehicle<input type="text" name="ccv"/></td><tr><br>
    <tr><td>RC Book Scan copy<input type="file" name="rc"/>  </td><tr>
        <br><br>
      </table>

            <br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;  &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="submit"/>

        </table>
        </html:form>

              </ul>
            </div>

            </div>
            <div class="related-post clearfix">

            </div>


          </article>
            <br>
          <article class="grid_14">

            <div class="widget">
              <h2 class="widget-title">Insurance For</h2>
              <div id="tabs">
                <ul>
                  <li><a href="#tabs-1">Car</a></li>
                  <li><a href="#tabs-2">Auto</a></li>
                  <li><a href="#tabs-3">Transport</a></li>
                </ul>
                <div id="tabs-1"> Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor
                  incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud
                  exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat.</div>
                <div id="tabs-2"> Phasellus mattis tincidunt nibh. Cras orci urna, blandit id, pretium vel, aliquet
                  ornare, felis. Maecenas scelerisque sem non nisl. Fusce sed lorem in enim dictum
                  bibendum.</div>
                <div id="tabs-3"> Nam dui erat, auctor a, dignissim quis, sollicitudin eu, felis. Pellentesque nisi
                  urna, interdum eget, sagittis et, consequat vestibulum, lacus. Mauris porttitor
                  ullamcorper augue.</div>
              </div>
            </div>
            <div class="widget">
              <h3 class="widget-title">offers on insurance</h3>
              <div id="accordion">
                <h3>New vehicle</h3>
                <div> Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet.</div>
                <h3>Old Vehicle</h3>
                <div> Phasellus mattis tincidunt nibh.</div>
                <h3> Transport</h3>
                <div> Nam dui erat, auctor a, dignissim quis.</div>
              </div>
            </div>
           <div class="widget">
              <h2 class="widget-title">customer review</h2>
              <p>Lorem ipsum dolor sit amet, consectetur adipiscing elit. Curabitur eu risus lorem, ut placerat nisl.</p>
            </div>
            <div class="widget">
              <h2 class="widget-title">Review</h2>
              <iframe src="http://player.vimeo.com/video/29309724?title=0&amp;color=FF5050" width="100%"  height="200px" frameborder="0" webkitAllowFullScreen mozallowfullscreen allowFullScreen></iframe>
            </div>
          </article>
        </div>
      </div>
    </section>
  </div>
</div>











<div class="block3">
  <!--==============================footer=================================-->
  <div class="container_12">
    <footer>
      <div class="wrapper">
        <div class="grid_6">
          <h2>About</h2>
          <p>Hi, we are Vehicle Hai.com!
            Vehicle hai emphasizes free EMI for Vehicle while facilitating great user experiences.</p>
          <ul class="social">
            <li type="none"> <a href="#">
              <figure><img src="commonfiles/images/soc1.png" width="31" height="24" alt=""></figure>
              Follow us on Twitter</a> </li>
            <li type="none"> <a href="https://www.facebook.com/jibjitjobs?ref=bookmarks">
              <figure><img src="commonfiles/images/soc2.png" width="31" height="26" alt=""></figure>
              Join us on Facebook</a> </li>
            <li type="none"> <a href="#">
              <figure><img src="commonfiles/images/soc3.png" width="31" height="26" alt=""></figure>
              Subscribe to our blog</a> </li>
            <li class="cont_item m_bottom_zero"> <a href="index-5.html">
              <figure><img src="commonfiles/images/soc4.png" width="31" height="20" alt=""></figure>
              Contact Us</a> </li>
          </ul>
        </div>
        <div class="grid_3">
          <h2>Copyright</h2>
          This includes all content and original design work, including the distinctive typographic style, layout and composition of this website. </div>
        <div class="grid_3 last-col">
          <h2>Navigate</h2>
          <ul class="navigate">
            <li><a href="#">Home</a></li>
            <li><a href="#">About</a></li>
            <li><a href="#">Services</a></li>
            <li><a href="#">EMI</a></li>
            <li><a href="#">FInance</a></li>
            <li><a href="error.jsp">Insurance</a></li>
            <li><a href="error.jsp">Contact</a></li>
          </ul>
        </div>
      </div>
    </footer>
  </div>
</div>

<script type="text/javascript" src="commonfiles/js/jquery-1.8.2.min.js"></script>
<script type="text/javascript" src="commonfiles/js/superfish.js"></script>
<script type="text/javascript" src="commonfiles/js/jquery.responsivemenu.js"></script>
<script type="text/javascript" src="commonfiles/js/jquery.flexslider.js"></script>
<script type="text/javascript" src="commonfiles/js/jquery.easing.1.3.js"></script>
<script type="text/javascript" src="commonfiles/js/jquery.isotope.min.js"></script>
<script type="text/javascript" src="commonfiles/js/contact.js"></script>
<script type="text/javascript" src="commonfiles/js/jquery.carouFredSel-6.1.0-packed.js"></script>
<script type="text/javascript" src="commonfiles/js/touchTouch.jquery.js"></script>
<script type="text/javascript" src="commonfiles/js/jquery-ui-1.8.24.custom.min.js"></script>
<script type="text/javascript" src="commonfiles/js/script.js"></script>
    </body>
</html>
